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The study has three aims: Assess treatment effectiveness by comparing smoking outcomes among participants in the EUC arm versus the VIT arm of the study Assess the effect of potential moderators (e.g., sociodemographics, medical and smoking history, cancer variables) on treatment effectiveness between the two arms Assess the processes of implementation and dissemination (acceptability, adoption, appropriateness, treatment fidelity, cost-effectiveness, penetration/reach, and sustainability) of delivering tobacco treatment interventions at community oncology sites Patients in the VIT arm access tobacco cessation counselors virtually via a secure video conference platform

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Because most jurisdictions mandate written smoke-free workplace rules and require specific signage, the policy serves both as an internal conduct standard and as documented evidence of regulatory compliance

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